Individual
TRACY KUBAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 252-1670
Mailing address
16495 145TH ST NE, FOLEY, MN 56329-9255
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2511773
MN
163WG0000X
General Practice Registered Nurse
2511773
MN
163WP2201X
Ambulatory Care Registered Nurse
Primary
2511773
MN
Other
Enumeration date
02/29/2024
Last updated
03/19/2026
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